Individual
MR. RONNIE BRYON ISAACSON
Active
Individual
MR. RONNIE BRYON ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA191453
OR
363AM0700X
Medical Physician Assistant
Primary
PA-1707
ID
Other
Enumeration date
01/15/2019
Last updated
03/31/2022
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